NPI: 1114343597 · WINTER GARDEN, FL 34787 · Pharmacy · NPI assigned 03/10/2014
| Authorized Official | NALAGANDLA, VAMSEE (PHARMACY MANAGER) |
| NPI Enumeration Date | 03/10/2014 |
| Year | Claims | Total Paid |
|---|---|---|
| 2022 | 24 | $0.00 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| K1034 | Provision of covid-19 test, nonprescription self-administered and self-collected use, fda approved, authorized or cleared, one test count | 24 | 24 | $0.00 |